Lagos Chamber of Commerce International Arbitration Centre

Title* (Ms/Mr/Dr/Prof)

Surname *

First Name *

Other Name

Email Address *

Mobile Number *

Date of birth *

Nationality *

Firm/Organisation *

Address of your firm/organisation *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Educational Qualifications & Date *

Professional Qualification & Date *

Area of Specialization Please indicate your area of specialization by ticking the box applicable below: *

EnergySMEsConstructionOil & GasFinancial ServicesAgribusinessBanking & FinanceInternational TradeCapital MarketsCorporate M/AI.C.TDispute ResolutionManufacturingTelecom, Media and Entertainment

Experience as Counsel (Please fill and attach separate sheet if required)

Experience as Arbitrator (Please fill and attach separate sheet if required)

Experience as Mediator (Please fill and attach separate sheet if required)

Experience as Adjudicator (Please fill and attach separate sheet if required)

Experience as an Expert Determiner (Please fill and attach separate sheet if required)

Upload CV and two reference letters. *

Panel of Neutrals Application Form

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